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General NPI Number Information
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NPI Number | 1962947911
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Entity Type | Individual
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Provider Name | MONICA DAWN REMLEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 141 W DAVIES AVE N STE 105
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City | LITTLETON
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State | CO
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Zip | 80120-4287
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Country | US
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Telephone | 303-730-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 141 W DAVIES AVE N SUITE 105
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City | LITTLE
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State | CO
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Zip | 80120
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Country | US
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Telephone | 303-730-1717
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.0004825
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License Number State | CO
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